| NPI | 1073128989 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: CA 95015457) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: CA 734773) |
| Enumeration Date | 2020-09-09 |
| Last Update Date | 2024-04-29 |